Shaquanda Shantivus Gordon PMHNP-BC

NPI # 

Practice Address:

825 Belmar Pass

Fairburn, GA, 30213-4482

Practice Phone:

229-603-2601

License Number:

2023060174

License State:

GA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X